Assessment of the multiple components of the variability in the adenoma detection rate in sigmoidoscopy screening, and lessons for training.

Abstract

BACKGROUND AND STUDY AIMS
The determinants of the observed variability of adenoma detection rate (ADR) in endoscopy screening have not yet been fully explained.
PATIENTS AND METHODS
Between November 1999 and November 2006 13 764 people (7094 men, 6670 women; age range 55-64) underwent screening flexible sigmoidoscopy at five hospital endoscopy units in… (More)